Diagnostic Imaging in Vascular Injuries
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Questions and Answers

What is the role of duplex in vascular injury assessment?

  • To monitor vascular injury progression
  • To guide surgical intervention in vascular trauma
  • To screen for vascular injury and detect intimal tears (correct)
  • To provide definitive diagnosis of vascular injury
  • Where is angiography best performed in traumatic injury settings?

  • In the radiology department
  • In the operating room (correct)
  • In the ICU
  • In the emergency department
  • What is the goal of haemorrhage control prior to surgery?

  • To dislodge any clot that has already formed
  • To maintain systolic blood pressure at a level suitable for brain perfusion (correct)
  • To raise blood pressure to increase haemorrhage
  • To administer fluids aggressively
  • What is the role of angioplasty balloon catheter in haemorrhage control?

    <p>To pass into the proximal vessel and inflate the balloon for proximal control</p> Signup and view all the answers

    What is the priority in volume resuscitation after haemorrhage control?

    <p>Aggressive volume resuscitation to restore circulating blood volume</p> Signup and view all the answers

    What is the goal of manual compression in haemorrhage control?

    <p>To reduce bleeding by applying direct pressure</p> Signup and view all the answers

    What is the primary goal of administering warmed fluids-crystalloid, blood or clotting factors in vascular trauma patients?

    <p>To correct acidosis and hypothermia</p> Signup and view all the answers

    What is the most significant complication of ligation of the external iliac artery, common femoral or superficial femoral?

    <p>Critical limb ischaemia</p> Signup and view all the answers

    What is the typical pressure range in a compartment?

    <p>5-15 mmHg</p> Signup and view all the answers

    What is the primary mechanism of compartment syndrome?

    <p>Intra-compartmental pressure causing capillary collapse</p> Signup and view all the answers

    Which of the following is NOT a complication of vascular trauma?

    <p>Pulmonary embolism</p> Signup and view all the answers

    What is the primary indication for thrombectomy in vascular trauma?

    <p>To manage thrombosis following transection</p> Signup and view all the answers

    What is the recommended positioning for the foot in patients with vascular injury to prevent contracture?

    <p>Neutral position</p> Signup and view all the answers

    What is the typical timeframe for closing an incision for fasciotomy?

    <p>Three to five days</p> Signup and view all the answers

    What is the primary concern in managing patients with popliteal artery injury?

    <p>Controlling haemorrhage</p> Signup and view all the answers

    What imaging modality is typically used to diagnose vascular injury?

    <p>CT angiogram</p> Signup and view all the answers

    What is the treatment of choice for a transected popliteal artery?

    <p>Interposition vein graft</p> Signup and view all the answers

    What is the typical source of the interposition graft used to repair the popliteal artery?

    <p>Lt great saphenous vein</p> Signup and view all the answers

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